• 대한치과보철학회지
• /
• 제53권4호
• /
• pp.377-391
• /
• 2015

상하악 치열궁의 부조화는 3차원적인 교합의 문제를 일으키며 불안정한 교합접촉에 의해 교합평면의 붕괴와 다수의 치아 상실 및 저작기능의 감소가 발생할 수 있다. 치아 상실로 인한 구치부의 지지 상실과 상하악 치열궁의 부조화로 인한 불안정한 교합접촉 및 부적절한 전방유도를 갖는 경우, 교정치료를 동반한 보철치료를 통해 안정적인 교합접촉과 전방유도를 회복하고, 조화로운 교합관계로의 개선이 필요하다. 본 증례보고는 앞서 언급된 문제들이 복합적으로 나타난 환자를 치과보철과와 치과교정과의 협진을 통해 양호한 구강회복 결과를 얻었기에 이를 보고하고자 한다.

• The Journal of Advanced Prosthodontics
• /
• 제11권6호
• /
• pp.331-340
• /
• 2019

PURPOSE. The purpose of this study is to assess the accuracy of three intraoral scanners along the complete dental arch and evaluate the feasibility of the assessment methodology for further in vivo analysis. MATERIALS AND METHODS. A specific measurement pattern was fabricated and measured using a coordinate measuring machine for the assessment of control distances and angles. Afterwards, the pattern was placed and fixed in replica of an upper jaw for their subsequent scans (10 times) using 3 intraoral scanners, namely iTero Element1, Trios 3, and True Definition. 4 reference distances and 5 angles were measured and compared with the controls. Trueness and precision were assessed for each IOS: trueness, as the deviation of the measures from the control ones, while precision, as the dispersion of measurements in each reference parameter. These measurements were carried out using software for analyzing 3-dimensional data. Data analysis software was used for statistical and measurements analysis (α=.05). RESULTS. Significant differences (P<.05) were found depending on the intraoral scanner used. Best trueness values were achieved with iTero Element1 (mean from 10 ± 7 ㎛ to 91 ± 63 ㎛) while the worst values were obtained with Trios3 (mean from 42 ± 23 ㎛ to 174 ± 77 ㎛). Trueness analysis in angle measurements, as well as precision analysis, did not show conclusive results. CONCLUSION. iTero Element1 was more accurate than the current versions of Trios3 and True Definition. Importantly, the proposed methodology is considered reliable for analyzing accuracy in any dental arch length and valid for assessing both trueness and precision in an in vivo study.

• 대한치과보철학회지
• /
• 제50권4호
• /
• pp.330-335
• /
• 2012

Shortened dental arch(SDA) 개념은 여러 현실적인 이유로 적절한 대안이 없을 경우 제 2 소구치까지만 수복이 이루어져도 안정적인 교합과 저작력을 얻을 수 있다는 것으로 자연치와 임플란트를 이용한 수복시 공히 적용되는 개념이다. 본 증례는 2급 지적장애로 인해 치료시 협조를 구할 수 없으며 우식으로 인해 다수의 치아가 상실된 환자로 대구치 부위의 심한 골흡수와 상악동의 함기화 및 상악동염으로 인해 제 2 대구치까지의 수복이 용이하지 않아 가급적 위험요인을 줄이면서 최소한의 전신마취로 치료를 종결하기 위해 SDA 개념을 적용, 제 2 소구치까지만 수복이 이루어졌다. 치료 결과 심미적, 기능적으로 만족할 만한 향상이 이루어졌고 추가적인 저작력의 요구는 없었으며 주기적인 재내원으로 구강위생이 강화되었다.

• The Journal of Advanced Prosthodontics
• /
• 제3권4호
• /
• pp.229-235
• /
• 2011

PURPOSE. The aim of this retrospective study was to evaluate cumulative survival rate (CSR) of Implantium implants followed for 5 years and association between risk factors and the CSR. MATERIALS AND METHODS. A total of two hundred forty-nine Implantium Implants System (Dentium, Seoul, Korea) placed in ninety-five patients from 2004 to 2009 were investigated with several identified risk factors (sex, systemic disease, smoking, alchohol, reason of tooth loss, length, arch (maxilla or mandible), replace tooth type (incisor, canine, premolar or molar) Kennedy classification, prosthodontic type, prosthodontic design, opposite dentition, abutment type, occlusal material, occlusal unit, splint to tooth, cantilever, other surgery). Clinical examination (mobility, percussion, screw loosening, discomfort, etc.) and radiographic examination data were collected from patient records including all problems during follow-up period according to protocols described earlier. Life table analysis was undertaken to examine the CSR. Cox regression method was conducted to assess the association between potential risk factors and overall CSR. RESULTS. Five of 249 implants were failed. Four of these were lost before loading. The 5-year implant cumulative survival rate was 97.37%. Cox regression analysis demonstrated a significant predictive association between overall CSR and systemic disease, smoking, reason of tooth loss, arch, Kennedy classification and prosthodontic design (P<.05). The screw related complication was rare. Two abutment screw fractures were found. Another complications of prosthetic components were porcelain fracture, resin facing fracture and denture fracture (n=19). CONCLUSION. The 5-year CSR of Implantium implants was 97.37 %. Implant survival may be dependent upon systemic disease, smoking reason of tooth loss, arch, Kennedy classification and prosthodontic design (P<.05). The presence of systemic diseases and combination of other surgical procedures may be associated with increased implant failure.

• Imaging Science in Dentistry
• /
• 제43권1호
• /
• pp.7-15
• /
• 2013

Purpose: This study was performed to suggest reference line-pair values of panoramic images with clinically desirable qualities using an arch-form phantom stand. Materials and Methods: The line-pair test phantom was chosen. A real skull model was selected for setting the arch-form model of the phantom stand. The phantom stand had slits in four regions (incisor, premolar, molar, TMJ). Four raw images of the test phantom in each region and one raw image of the real skull were converted into 50 test phantom images and 50 skull phantom images with various line-pair values. 50 post-processed real skull phantom images were divided into 4 groups and were randomly submitted to 14 evaluators. Image quality was graded on a 4 point scale (1. good, 2. normal, 3. poor but interpretable, and 4. not interpretable). The reference line pair was determined as the first line-pair value scored less than 2 points. Result: The mean scores tended to decrease as the line-pair values increased. The reference line-pair values were 3.19 LP/mm in the incisor, 2.32 LP/mm in the premolar and TMJ, and 1.88 LP/mm in the molar region. Conclusion: Image quality evaluation methods and criteria should be able to assess various regions considering the characteristics of panoramic systems. This study suggested overall and regional reference line-pair values and established a set of standard values for them.

• 치과방사선
• /
• 제28권2호
• /
• pp.491-503
• /
• 1998

A cystic compound odontoma in the maxillary sinus occurred in a 13-year-old boy. who had missing right upper third molar without having the history of extraction of the wisdom tooth. He complained nasal stuffiness. headache. and pain on the affected face. resembling any sign and symptoms of the maxillary sinus problems. The cystic compound. sized 2 x 1.5 cm in diameter was pedunculated and attached on the posterior wall of the right maxillary sinus and above the antral floor. The location of the compound odontoma in the maxillary sinus was confirmed after panoramic. waters. spiral tomographic. CT examinations and surgical exploration. Its location was on the medial. posterior. superior to the normal position of the maxillary third molar or the maxillary dental arch. The cystic odontoma in the maxillary sinus made the patient have the signs and symptoms of maxillary sinusitis. The cystic compound odontoma might be originated from the dental lamina of the missing upper right third molar. The 'V principle' of the upper jaw growth and the pneumatization process of the maxillary sinus could explain why the compound odontoma had peduncular shape and the location of odontoma was on the medial. superior to the normal position of the maxillary dental arch.

• 대한치과교정학회지
• /
• 제18권1호
• /
• pp.165-173
• /
• 1988

The purpose of this study was to investigate and evaluate what proportion is the characteristics in Korean dental arches with normal occlusion. Many others have already indicated Golden proportion in normal dental arches, but have not considered any racial and sociocultural differences. So the author postulated $(\sqrt{2})^n$ relations in Koreans. The materials were consisted of 134 dental casts with normal occlusion, which have never undergone orthodontic and prosthodontic procedures. Measurements were made on the arch dimensions using sliding caliper and data were computerized. The findings were as follows: 1. The width between the distal surfaces of the upper centrals, had $(\sqrt{2})^3$ relation with the width between the buccal surfaces of the upper 1 st premolars in Koreans. 2. The width between the distal surfaces of the lower laterals had $(\sqrt{2})$ relation with the width between the distal surfaces of the lower canines, and had $(\sqrt{2})^2$ relation with the distal surfaces of the upper centrals. 3. The width between the distal surfaces of the lower centrals had $(\sqrt{2})^2$ relation with the width between the distal surfaces of the lower laterals, and had $(\sqrt{2})^3$ relation with the width between the distal surfaces of the upper centrals.

• 대한치과교정학회지
• /
• 제3권1호
• /
• pp.7-13
• /
• 1972

정상 치열궁에 관한 연구는 많은 학자들에 의해 시행되어온 바 학자들 간에는 아무런 일관성이 없다는 의견과 치열궁을 대표할 만한 기하학적 곡선이 존재한다는 의견이 상충되어 왔다. 그중 후자의 이론이 지배적인 것으로 보이나 그 중에서도 곡선의 형태에 관하여서는 다시 많은 논란이 있었다. Bonwill과 Hawley등에 의한 Circle론, Black의 반타원론, Angle의 포물선론, 이외에도 많은 의견이 있는 가운데 저자는 정상교합을 유지하는 한국인 성인을 대상으로 Bonwill과 Hawley의 이론을 기초로 한 연구를 시행한 바 다음과 같은 결과를 얻었다. 1. 정상교합을 유지하는 한국인 성인의 치열은 전치에 있어서 원호에 근사한 배열을 갖는다. 2. 원의 지름은 6전치의 폭경의 합에 대하여 다양하므로, 전치 배열이 치아의 크기에 엄격히 연관됐다고 단정 할 수는 없다. 3. 그러나 6전치 폭경의 합에 대한 원의 지름의 비율은 그 평균치가 상하악 모두 1 : 1에 매우 근접하고 이 사실은 Bonwill의 결론에 부합한다. 4. 견치간 폭경과 구치간 폭경은 육전치의 합에 대한 비율이 상하악에 있어서 그 형태가 다름에 따라 상이하나 비교적 일정하게 나타난다.

• 대한치과교정학회지
• /
• 제14권1호
• /
• pp.127-134
• /
• 1984

The purpose of the present study was to investigate the correlations of malocclusion between the mother and the offspring and thus heritable features from mother to her offspring. Dental impression was taken of the both jaws of 73 mothers and their sons and 109 mothers and their daughters, and the measurement was obtained from the models. The correlation coefficient of the mesio-distal diameters of teeth and that of occlusion and arch variable was calculated from the mesurement. After the data was analyzed and estimated, the following results were obtained : 1. It was evident that the tooth size of the offspring was influenced from their mother. 2. It was evident that the occlusion, the arch size and shape of the offspring were influenced from their mother. 3. There was not the marked difference between the heredity of occlusion variable and arch variable on the mother-offspring relationship. 4. The correlation of the lower intercanine width and the lower available space discrepancy between the mother and the offspring were greatly influenced with the environmental factor.

• 대한소아치과학회지
• /
• 제25권1호
• /
• pp.152-156
• /
• 1998

The purpose of this study was to investigate the prevalence rate of the nursing caries in preschool children by retrospective epidemiological survey. 500 preschool children in Iksan city were examined for their dental caries experience (dt, mt, ft). Subjects were divided stepwise by the pattern of caries experience: Group 1-no caries, Group 2-no caries in the upper arch, Group 3-no caries among the upper incisors, Group 4-dmft in the lower arch $\geq$ mft in the upper arch, Group 5-dmft among the upper molars > dmft among the upper incisors, Group 6-dmft among the upper molars < dmft among the upper incisors+caries among the lower incisors, and Group 7-the rest. Groups 6 was regarded as the group which had experienced rampant caries, and the Group 7 was regarded as the group which had the typical pattern of nursing caries. The prevalence rate of nursing caries (Group 7) was 16.0%.